Provider Demographics
NPI:1922834324
Name:CLINICA DE BIENESTAR Y CUIDADO PSICOLOGICO, LLC
Entity type:Organization
Organization Name:CLINICA DE BIENESTAR Y CUIDADO PSICOLOGICO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYD/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:787-517-0464
Mailing Address - Street 1:12 CALLE PALOMA
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-5019
Mailing Address - Country:US
Mailing Address - Phone:787-517-0464
Mailing Address - Fax:
Practice Address - Street 1:CARR 110 KM 22.8
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-517-0464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)